Results of open reduction and plate osteosynthesis in comminuted fracture of the olecranon

Ertürer, Erden; Sever, Cem; Sönmez, Mehmet Mesut; Özçelık, İsmail Bülent; Akman, Şenol; Öztürk, İrfan

doi:10.1016/j.jse.2010.11.023

Cited by 66 publications

(36 citation statements)

References 19 publications

(40 reference statements)

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“…Given the results of bone grafting reported by CerveraIrimia and colleagues 23 in patients with comminuted fractures, we considered doing the same in 3 patients with significant comminution but opted against bone grafting as the degree of comminution in our patients was not sufficient to warrant this procedure. Erturer and colleagues 17 used the conventional plate for the treatment of olecranon fractures classified as Mayo IIB and IIIB fractures. They obtained an average flexion and extension of 116° (our result was 138°), and an average pronation and supination of 126° (our result was 170.3°).…”

Section: Resultsmentioning

confidence: 99%

“…We assessed the function of the extremity by measuring the range of flexion, extension, pronation and supination of the forearm, and we compared these values with those for the uninjured extremity of the same patient and with the reference values in literature to assess the success of the operative method and of the implant applied. [16][17][18] Approximately 6 months after the surgery, the patients were interviewed about their general impression and their possible difficulties (hardships present or not); in the presence of hardships we tried to assess them quantitatively (mild, moderate, intense). For this investigation we used the Mayo elbow performance score questionnaire, which takes into consideration objective (range of motion, stability of the joint) as well as subjective (existence and intensity of pain, daily functions of the joint) parameters for the appraisal of joint function.…”

Section: Follow-upmentioning

confidence: 99%

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Tension plate for treatment of olecranon fractures: new surgical technique and case series study

Lukšić

Jurić

Boschi

et al. 2015

cjs

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Background: Our aim was to determine the effectiveness of a new surgical technique for olecranon fractures using a tension plate (TP) designed by the operating surgeon. Methods:We included patients with olecranon fractures treated between September 2010 and August 2013 in our study. Treatment involved a new implant and operative technique, which combined the most favourable characteristics of 2 frequently used methods, tension band wiring and plate osteosynthesis, while eliminating their shortcomings. The new method was based on the newly constructed implant.Results: Twenty patients participated in our study. We obtained the following functional results with our TP: median flexion 147.5° (interquartile range [IQR] 130°-155°), median extension 135°/deficit 10° (IQR 135°-145°), median pronation 90° (IQR 81.3°-90°), median supination 90° (IQR 80°-90°). Implant-related complications were noted in 1 patient, and implants were removed in 3 patients. The mean functional Mayo elbow performance score was 94.8 (range 65-100). The removal of the implant was considerably less frequent in patients operated using the new method and implant than in patients operated using conventional methods at our institution (p < 0.001). Mean duration of follow-up was 8 months. Conclusion:Our TP for the treatment of olecranon fractures is safe and effective. Functional results are very good, with significantly decreased postoperative inconveniences and need to remove the implant. Less osteosynthetic material was used for TP construction, but stability was preserved.

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Section: Resultsmentioning

confidence: 99%

Section: Follow-upmentioning

confidence: 99%

Tension plate for treatment of olecranon fractures: new surgical technique and case series study

Lukšić

Jurić

Boschi

et al. 2015

cjs

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“…1 The standard treatment for displaced olecranon fractures is open reduction and internal fixation (ORIF), with typical methods including tension band wiring or plating. [1][2][3][4] The chosen method of surgical intervention depends on many factors, including the amount of bone loss, the amount of comminution, the stability of the joint and the ability to reduce the articular surface. 3 Displaced noncomminuted olecranon fractures were traditionally treated using tension band wiring, which was first described by Weber and Vasey.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] The chosen method of surgical intervention depends on many factors, including the amount of bone loss, the amount of comminution, the stability of the joint and the ability to reduce the articular surface. 3 Displaced noncomminuted olecranon fractures were traditionally treated using tension band wiring, which was first described by Weber and Vasey. 5 This method was designed with the theory that early mobilization would create tensile forces across the fracture that would be converted to compression forces and prevent nonunion, while minimizing the loss of range of motion.…”

Section: Discussionmentioning

confidence: 99%

A survey of current practices and preferences for internal fixation of displaced olecranon fractures

Wood

Thomas

Farrokhyar

et al. 2015

cjs

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Background: Olecranon fractures represent 10% of upper extremity fractures. There is a growing body of literature to support the use of plate fixation for displaced olecranon fractures. The purpose of this survey was to gauge Canadian surgeons' practices and preferences for internal fixation methods for displaced olecranon fractures. Methods:Using an online survey tool, we administered a cross-sectional survey to examine current practice for fixation of displaced olecranon fractures. Results:We received 256 completed surveys for a response rate of 31% (95% confidence interval [CI] 30.5-37.5%). The preferred treatment was tension band wiring (78.5%, 95% CI 73-83%) for simple displaced olecranon fractures (Mayo IIA) and plating (81%, 95% CI 75.5-85%) for displaced comminuted olecranon fractures (Mayo IIB). Fracture morphology with a mean impact of 3.31 (95% CI 3.17-3.45) and comminution with a mean impact of 3.34 (95% CI 3.21-3.46) were the 2 factors influencing surgeons' choice of fixation method the most. The major deterrent to using tension band wiring for displaced comminuted fractures (Mayo IIB) was increased stability obtained with other methods described by 75% (95% CI 69-80%) of respondents. The major deterrent for using plating constructs for simple displaced fractures (Mayo IIA) was better outcomes with other methods. Hardware prominence was the most commonly perceived complication using either method of fixation: 77% (95% CI 71.4-81.7%) and 76.2% (95% CI 70.6-81.0%) for tension band wiring and plating, respectively. Conclusion:Divergence exists with current literature and surgeon preference for fixation of displaced olecranon fractures.

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“…4,5 The standard treatment for displaced olecranon fractures is open reduction and internal fixation (ORIF), with typical methods including tension band wiring or plating. 6,7 The chosen method of surgical intervention depends on many factors, including the amount of bone loss, the amount of comminution, the stability of the joint and the ability to reduce the articular surface. Displaced noncomminuted olecranon fractures were traditionally treated using tension band wiring, which was first described by Weber and Vasey.…”

Section: Introductionmentioning

confidence: 99%

Tension Band Wiring Vs Reconstruction Plate for the Treatment of Proximal Ulna and Olecranon Fractures

Sahni¹,

Bhalla²

2016

jmscr

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Results of open reduction and plate osteosynthesis in comminuted fracture of the olecranon

Cited by 66 publications

References 19 publications

Tension plate for treatment of olecranon fractures: new surgical technique and case series study

Tension plate for treatment of olecranon fractures: new surgical technique and case series study

A survey of current practices and preferences for internal fixation of displaced olecranon fractures

Tension Band Wiring Vs Reconstruction Plate for the Treatment of Proximal Ulna and Olecranon Fractures

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